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First published online November 24, 2008
British Journal of Radiology (2009) 82, 286-290
© 2009 British Institute of Radiology
doi: 10.1259/bjr/64849421
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British Journal of Radiology 82 (2009),286-290 ©2009 The British Institute of Radiology

The effectiveness of lymphangiography as a treatment method for various chyle leakages

T MATSUMOTO, MD 1 T YAMAGAMI, MD, PhD 1 T KATO, MD, PhD 1,2 T HIROTA, MD, PhD 1,3 R YOSHIMATSU, MD 1 T MASUNAMI, MD 1 and T NISHIMURA, MD, PhD 1

1 Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine 465 Kajiicho, Kawaramachi Hirokoji, Kamigyo-ku, 602–8566, Kyoto, 2 Department of Radiology, Matsushita Memorial Hospital, Sotojima-cho 5-55, Moriguchi, 570–8540, Osaka, 3 Department of Radiology, Kyoto First Red Cross Hospital, 15–749 Honmachi, Higashiyama, 605–0981, Kyoto, Japan

Correspondence: Tomohiro Matsumoto, Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine 465 Kajiicho, Kawaramachi Hirokoji, Kamigyo-ku, 602–8566, Kyoto, Japan. E-mail: t-matsu{at}koto.kpum.ac.jp

The purpose of this study was to assess the effectiveness of lymphangiography as a treatment for various chyle leakages. Pedal lymphangiography was performed in 9 patients (6 men and 3 women; mean age, 59 years) who were unlikely to be cured only by conservative treatment — a low-fat medium-chain triglyceride diet, total parenteral nutrition and insertion of a drainage tube — and in whom chylothorax (n = 5), chylous ascites (n = 2) and lymphatic fistulae (n = 2) were refractory to conservative treatment. In 7 of these 9 patients (78%), we could detect the chyle leakage sites. In 8 of the 9 patients (89%), lymphatic leakage was stopped after lymphangiography, and surgical re-intervention was avoided. No cases had a recurrence of chyle leakage during follow-up (range, 1–54 months). Lymphangiography is effective not only for diagnosis but also as treatment for various chyle leakages. Early lymphangiography is therefore recommended for patients with chyle leakages who are unlikely to be cured by conservative treatment only.






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